Midterm surgical treatment outcomes of unstable distal radius fractures

Yeghiazaryan K.A.; Ratiev A.P.; Grigor'ev A.V.; Germanov A.V.; Danilov M.A.; Chebotarev V.V.

doi:https://doi.org/10.17116/vto201901117

Yeghiazaryan K.A.

N.N. Priorov National Medical Research Center of Traumatology and Orthopaedics, Moscow, Russia

Ratiev A.P.

N.N. Priorov National Medical Research Center of Traumatology and Orthopaedics, Moscow, Russia

Grigor'ev A.V.

FGBU "Moskovskiĭ NII glaznykh bolezneĭ im. Gel'mgol'tsa" Minzdrava Rossii

Germanov A.V.

N.N. Priorov National Medical Research Center of Traumatology and Orthopaedics, Moscow, Russia

Danilov M.A.

A.S. Loginov Moscow clinical scientific and practical center, Moscow, Russia

Chebotarev V.V.

Medical University «Stavropol State Medical University» Ministry of Health of the Russian Federation, Stavropol, Russia, 355002

Midterm surgical treatment outcomes of unstable distal radius fractures

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Yeghiazaryan K.A., Ratiev A.P., Grigor'ev A.V., Germanov A.V., Danilov M.A., Chebotarev V.V.

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Journal: N.N. Priorov Journal of Traumatology and Orthopedics. 2019;(1): 17‑26

DOI: 10.17116/vto201901117

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Yeghiazaryan KA, Ratiev AP, Grigor'ev AV, Germanov AV, Danilov MA, Chebotarev VV. Midterm surgical treatment outcomes of unstable distal radius fractures. N.N. Priorov Journal of Traumatology and Orthopedics. 2019;(1):17‑26. (In Russ.)
https://doi.org/10.17116/vto201901117

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Abstract:

Background. Fracture of the distal radius is the most common injures bones of the forearm. Multifragmentary articular injures have occupied a special place among all fractures of the distal radius This factor due to the severity of the injury wrist joint, young patients and difficult rehabilitation. Purpose of study: Improvement results surgical treatment unstable fractures of the distal radius. Patients and methods. All patients were depended into two groups: The first group consisted of 34 patients. The first stage of treatment include close reduction and external fixations. If after external fixation we have persisting fractures dislocation, we take conversion external fixation, open reduction and plate fixation. The second group were included 30 person. In this group we take open reduction and plate fixation. Results. 6 or 12 month after surgery in 1 group we have receiver 87% excellent results. In the the second group we have received 77% excellent results. In the first group 2 cases have slow fractures consolidation, infection complication not found. In the second group we have 2 complication: CRPS and infection. Conclusion. Results in two groups of patients are assessed as good and excellent. The results of the study showed that external fixation in first stage of treatment allows to achieved better restoration radiocarpal joint anatomy (except for type B fractures), and without secondaly displacement tendency. The last fact is very important for patient with delayed the second stage of treatment. This patients with multiple injuries, open fractures and presence of an infected wound and etc. The second stage of treatment consisted of open reduction and plate fixation. Achieved full anatomy restoration radiocarpal joint with possible early rehabilitation. Conflict of interest: the authors state no conflict of interest Funding: the study was performed with no external funding

Keywords:

fracture of the distal radius

unstable injures

external fixation

two-stage method of treatment

Authors:

Yeghiazaryan K.A.

N.N. Priorov National Medical Research Center of Traumatology and Orthopaedics, Moscow, Russia

Ratiev A.P.

N.N. Priorov National Medical Research Center of Traumatology and Orthopaedics, Moscow, Russia

Grigor'ev A.V.

FGBU "Moskovskiĭ NII glaznykh bolezneĭ im. Gel'mgol'tsa" Minzdrava Rossii

Germanov A.V.

N.N. Priorov National Medical Research Center of Traumatology and Orthopaedics, Moscow, Russia

Danilov M.A.

A.S. Loginov Moscow clinical scientific and practical center, Moscow, Russia

Chebotarev V.V.

Medical University «Stavropol State Medical University» Ministry of Health of the Russian Federation, Stavropol, Russia, 355002

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